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1891364022
IDA ALLEN
SHREVEPORT, LA
NPI
1891364022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-06-22
Last Update Date
2021-06-22
Business Address
IDA ALLEN
3625 YOUREE DR
SHREVEPORT, LA 71105-2121
Phone number: 318-779-8167
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Mailing Address
IDA ALLEN
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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